Abbasinia Mohammad, Bahrami Nasim, Bakhtiari Soheila, Yazdannik Ahmadreza, Babaii Atye
Department of Nursing, Faculty of Nursing & Midwifery, Qom University of Medical Sciences, Qom, Iran.
Department of Nursing, Faculty of Nursing & Midwifery, Yazd University of Medical Sciences, Yazd, Iran.
J Caring Sci. 2016 Jun 1;5(2):161-7. doi: 10.15171/jcs.2016.017. eCollection 2016.
Ventilator-associated pneumonia is a common complication of mechanical ventilation. This study aimed to evaluate the effect of designed respiratory care program on incidence of ventilator-associated pneumonia (VAP) in the mechanically ventilated patient.
In this clinical trial, 64 patients were selected among those who had undergone mechanical ventilation in the ICU of Al‑Zahra Hospital, Isfahan, Iran, using convenience sampling method. The subjects were randomly allocated to intervention and control groups. In the intervention group an upper respiratory care program and in the control group, routine cares were done. Modified Clinical Pulmonary Infection Questionnaire was completed before and on the third, fourth and fifth day of study. Data were analyzed by Chi-square and independent t-test through SPSS Ver.13.
The results of this study showed that until the third day of study, the incidence of VAP was similar in the both groups. However, on the fifth day of study, the incidence of VAP in the intervention group was significantly lower than control group.
The results of this study showed that an upper respiratory care program reduced the incidence of VAP. Therefore, nurses are recommended to perform this program for prevention of VAP.
呼吸机相关性肺炎是机械通气的常见并发症。本研究旨在评估设计的呼吸护理方案对机械通气患者呼吸机相关性肺炎（VAP）发生率的影响。
在这项临床试验中，采用便利抽样法从伊朗伊斯法罕市扎赫拉医院重症监护病房接受机械通气的患者中选取64例患者。将受试者随机分为干预组和对照组。干预组实施上呼吸道护理方案，对照组进行常规护理。在研究前以及研究的第三天、第四天和第五天完成改良临床肺部感染问卷。通过SPSS 13.0版软件进行卡方检验和独立样本t检验分析数据。
本研究结果显示，直到研究的第三天，两组VAP的发生率相似。然而，在研究的第五天，干预组VAP的发生率显著低于对照组。
本研究结果表明，上呼吸道护理方案降低了VAP的发生率。因此，建议护士实施该方案以预防VAP。
